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- How do you describe your gender? (optional)
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Format: (000) 000-0000.
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Format: (000) 000-0000.
- How did you hear about the Leadership Illawarra Program?*
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Format: (000) 000-0000.
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- Do you require any adjustments or supports to fully participate in the program?
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- The Leadership Illawarra Program offers a limited number of scholarships to support access and participation. Scholarships are assessed separately and do not influence selection outcomes. Would you like to be considered for a scholarship?
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- Is your employer/organisation a member of the Illawarra Connection?*
- I have my employer’s full support to participate*
- My organisation may be available to participate by hosting a site visit
- Who will be responsible for the payment of your program fees?*
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- I have read and understand the expected time commitment of the LIP and, if selected, am able to actively participate throughout the two-year program.*
- Both I and my employer (if applicable) are aware of the time commitment, organisational, and financial contributions required. *
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- Should be Empty: